Chief Compliance Officer

University Health Partners of Hawaii•Honolulu, HI

4h•Hybrid

About The Position

The Chief Compliance Officer (CCO) is responsible for establishing and implementing an effective compliance program to ensure legal, ethical, and proper conduct. This role involves exercising independent judgment in corporate compliance matters and reporting directly to the Board of Directors. The CCO monitors all internal audit reports and works closely with key managers to identify aberrant trends in the coding and billing areas. The CCO monitors organization practices for patterns that may require a change in procedures, and reports on these issues to the CEO and the Board Compliance Committee. The CCO is also responsible for implementing necessary actions to train employees and the Board of Directors on the objectives of an effective compliance program. The position requires residing on Oahu and will be fully in office for the first three months, with the potential to become a hybrid position thereafter.

Requirements

Master’s degree or higher in Healthcare related field or equivalent training and experience
Five (5) to seven (7) years of progressively responsible experience, particularly in healthcare compliance
Two (2) years of experience with health care facilities, not-for-profit or government agencies
Demonstrated experience solving complex issues and developing management systems relevant to compliance
Demonstrated record of creating policies, procedures, and investigation reports
Ability to undertake transactional legal work with minimal supervision
Excellent oral and written communication skills
Ability to work effectively with all levels of management, administration, and affiliates
Ability to prioritize workload to complete projects on time and with minimum direction
Ability to discern ethical issues and provide guidance as necessary
Ability to collect, analyze, and present data in a clear and concise manner, including statistical and cost analyses
Ability to establish and maintain effective working relationships with those contacted in the course of work
Commitment to exemplary levels of confidentiality and discretion

Nice To Haves

L.L.M. or J.D. degree from a nationally accredited law school
Certified in Healthcare Compliance (CHC) or Certifications in related areas such as Fraud (CFE), Risk Management (CRMA), or Privacy (CHPC)
Seven (7) to ten (10) years of progressively responsible compliance/legal experience
Prior background in operations of a medical faculty practice plan or other healthcare operations
Knowledge of regulations governing the healthcare industry
Knowledge of Medicare/Medicaid/CMS program requirements
Familiarity with claim submission guidelines

Responsibilities

Establishes and implements an effective compliance program to ensure legal, ethical, and proper conduct
Exercises independent judgment in corporate compliance matters
Reports directly to the Board of Directors
Monitors all internal audit reports
Works closely with key managers to identify aberrant trends in the coding and billing areas
Monitors organization practices for patterns that may require a change in procedures
Reports on these issues to the CEO and the Board Compliance Committee
Implements necessary actions to train employees and the Board of Directors on the objectives of an effective compliance program